|
Ophthalmic endoscope add-on
|
$27,881.41 |
$27,881.41 |
$27,881.41 |
$750.40
|
|
Ophthalmic mitomycin
|
$2,013.55 |
$2,013.55 |
$2,013.55 |
$775.44
|
|
Oph Ultrasound dx quan a-scan only
|
$150.00 |
$150.00 |
$189.75 |
$273.00
|
|
Opioids & opiate analogs 3/4
|
$85.14 |
$85.14 |
$85.14 |
$24.00
|
|
Opn ax/subcla art expos
|
$265.00 |
$265.00 |
$265.00 |
$1,269.60
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$95,921.66 |
$95,921.66 |
$95,921.66 |
$1,491.00
|
|
Opn impltj crnl nrv nea&pg
|
$201,960.31 |
$201,960.31 |
$201,960.31 |
$35,498.40
|
|
Opn impltj nea perph nerve
|
$70,011.49 |
$70,011.49 |
$70,011.49 |
$14,685.79
|
|
Opn impltj nea sacral nerve
|
$71,180.23 |
$71,180.23 |
$71,180.23 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$136,009.73 |
$136,009.73 |
$136,009.73 |
$36,076.18
|
|
Opps service,sched team conf
|
$417.45 |
$417.45 |
$417.45 |
$503.90
|
|
Oral aprepitant
|
$2,268.70 |
$2,268.70 |
$2,268.70 |
$410.20
|
|
Oral everolimus
|
$353.50 |
$353.50 |
$353.50 |
$30.30
|
|
Oral methotrexate (xatmep)
|
$81.02 |
$81.02 |
$81.02 |
$4,371.50
|
|
Orchiopexy ingun/scrot appr
|
$15,782.55 |
$15,782.55 |
$15,782.55 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$71.61 |
$152.50 |
$225.40 |
$152.50
|
|
Oritavancin 1,200 mg intravenous solution
|
$7,010.98 |
$7,010.98 |
$7,010.98 |
$11,017.26
|
|
Oritavancin 400 mg intravenous solution
|
$1,570.92 |
$1,570.92 |
$1,570.92 |
$3,311.06
|
|
Oropharyngeal biopsy 42800
|
$16,556.76 |
$16,556.76 |
$16,556.76 |
$2,443.00
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$69.23 |
$69.23 |
$76.57 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$218.64 |
$218.64 |
$230.00 |
$279.81
|
|
Ortho ewhf rigd without jnt cstm w
|
$970.55 |
$970.55 |
$2,359.70 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$250.00 |
$250.00 |
$250.00 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$190.00 |
$190.00 |
$190.00 |
$231.66
|
|
Ortho hnd without jnt w/fit&adj
|
$205.13 |
$205.13 |
$205.13 |
$229.45
|
|
Orthopantogram
|
$137.28 |
$137.28 |
$692.30 |
$241.50
|
|
Orthosis lso rigd frm hyperex
|
$749.70 |
$749.70 |
$749.70 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$269.58 |
$325.00 |
$655.90 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$750.52 |
$985.00 |
$1,274.70 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$187.50 |
$187.50 |
$231.70 |
$196.70
|
|
Osmolality blood
|
$18.48 |
$52.50 |
$91.00 |
$69.55
|
|
Osmolality urine
|
$15.51 |
$57.50 |
$100.80 |
$65.50
|
|
Other immunoelectrophoresis
|
$29.37 |
$29.37 |
$29.37 |
$107.52
|
|
Oth resp proc, group
|
$47.85 |
$67.50 |
$144.20 |
$126.00
|
|
Oth resp proc, indiv
|
$37.95 |
$37.95 |
$65.00 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$42.90 |
$90.00 |
$235.90 |
$98.40
|
|
Otoplasty 69300
|
$22,252.31 |
$22,252.31 |
$22,252.31 |
$3,592.74
|
|
Ot re-evaluation patient/family
|
$70.29 |
$130.00 |
$328.30 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$32.67 |
$90.00 |
$135.80 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$33.99 |
$90.00 |
$163.10 |
$94.81
|
|
Ovarian cystectomy 58925
|
$37,986.85 |
$37,986.85 |
$37,986.85 |
$5,841.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$97.51 |
$97.51 |
$142.10 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.84 |
$547.54 |
$2,901.32 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$29.97 |
$30.43 |
$351.05 |
$50.40
|
|
P-32 chromic phos ther per mci
|
$243.54 |
$243.54 |
$243.54 |
$290.64
|
|
P-32 sod phosphate ther per mci
|
$243.54 |
$243.54 |
$243.54 |
$469.34
|
|
Pabpn1 gene detc abnor allel
|
$316.40 |
$316.40 |
$316.40 |
$225.42
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$87,066.79 |
$87,066.79 |
$87,066.79 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.69 |
$2.31 |
$463.22 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$33.32 |
$35.01 |
$8,368.67 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$1,641.50 |
$1,641.50 |
$1,641.50 |
$672.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$35.08 |
$610.91 |
$2,383.50 |
$6,238.82
|
|
Palonosetron hcl
|
$6.64 |
$132.47 |
$317.39 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$212.11 |
$212.11 |
$422.80 |
$122.00
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$422.49 |
$430.50 |
$11,067.35 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$29.31 |
$61.92 |
$111.30 |
$28.90
|
|
Papaverin hcl injection
|
$72.80 |
$72.80 |
$85.02 |
$78.75
|
|
Parathormone (pth) intact
|
$100.32 |
$217.50 |
$352.10 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$1,504.30 |
$1,504.30 |
$1,555.00 |
$1,574.40
|
|
Parathyroid autotransplantation 60512
|
$39,261.49 |
$39,261.49 |
$39,261.49 |
$1,716.15
|
|
Parathyroid planar imaging
|
$1,035.00 |
$1,035.00 |
$1,556.80 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$1,295.00 |
$1,295.00 |
$1,323.96 |
$1,350.60
|
|
Paricalcitol
|
$58.97 |
$58.97 |
$58.97 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$182.50 |
$192.50 |
$213.50 |
$245.67
|
|
Part hymenectomy/revi hymenal ring 56700
|
$10,216.53 |
$10,216.53 |
$10,216.53 |
$3,762.53
|
|
Partial proctectomy; perineal 45123
|
$39,644.23 |
$39,644.23 |
$39,644.23 |
$2,772.80
|
|
Partial removal of eye fluid
|
$24,295.54 |
$24,295.54 |
$24,295.54 |
$2,698.92
|
|
Partial removal of eye fluid
|
$19,624.48 |
$19,624.48 |
$19,624.48 |
$2,698.92
|
|
Partial removal of lip
|
$25,250.27 |
$25,250.27 |
$25,250.27 |
$3,276.00
|
|
Partial removal of pharynx 42890
|
$67,406.56 |
$67,406.56 |
$67,406.56 |
$6,465.11
|
|
Partial removal of thyroid
|
$26,845.85 |
$26,845.85 |
$26,845.85 |
$5,855.00
|
|
Partial removal of thyroid
|
$33,200.22 |
$33,200.22 |
$33,200.22 |
$5,741.00
|
|
Partial removal of tongue
|
$64,876.35 |
$64,876.35 |
$64,876.35 |
$6,084.97
|
|
Partial removal of vaginal wall 57106
|
$15,933.13 |
$15,933.13 |
$15,933.13 |
$3,762.53
|
|
Partial thyroid excision
|
$25,691.44 |
$25,691.44 |
$25,691.44 |
$6,463.42
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$1,204.01 |
$1,204.01 |
$1,204.01 |
$4,921.76
|
|
Passy muir valve metal trach
|
$259.26 |
$259.26 |
$928.83 |
$275.75
|
|
Pca3/klk3 antigen
|
$763.70 |
$900.00 |
$900.00 |
$510.40
|
|
Pdgfra gene
|
$352.11 |
$960.00 |
$1,028.30 |
$717.23
|
|
Pegaspargase injection
|
$113,607.72 |
$113,607.72 |
$113,607.72 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$916.45 |
$917.96 |
$28,317.62 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$399.42 |
$399.42 |
$399.42 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$357.57 |
$358.14 |
$11,527.60 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$5,993.21 |
$5,993.21 |
$5,993.21 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$339.15 |
$339.34 |
$4,439.22 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$12,759.31 |
$12,759.31 |
$12,759.31 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$751.74 |
$1,385.00 |
$3,318.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$725.01 |
$955.00 |
$2,907.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$551.43 |
$855.00 |
$2,156.70 |
$1,333.20
|
|
Pelvic MRI (with and without contrast)
|
$2,125.00 |
$2,575.00 |
$4,765.60 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,450.00 |
$1,750.00 |
$3,948.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,350.00 |
$1,650.00 |
$3,615.50 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$435.00 |
$575.00 |
$1,509.90 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$325.00 |
$397.32 |
$862.40 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$93.39 |
$230.00 |
$576.10 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$285.00 |
$322.08 |
$687.40 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$118.87 |
$125.66 |
$7,668.10 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$10,869.77 |
$10,869.77 |
$10,869.77 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$81.04 |
$612.76 |
$1,463.87 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$37.84 |
$37.84 |
$299.25 |
$97.85
|